Congenital complete absence of left upper limb
ICD-10 Q71.02 is a billable code used to indicate a diagnosis of congenital complete absence of left upper limb.
Congenital complete absence of the left upper limb, also known as congenital amelia, is a rare condition characterized by the total absence of the left arm from birth. This condition can occur as an isolated anomaly or as part of a syndrome involving other congenital malformations. The absence of the limb can significantly impact the child's physical development, functional abilities, and psychosocial well-being. Children with this condition may require multidisciplinary care, including orthopedic evaluation, physical therapy, and possibly prosthetic fitting to enhance mobility and functionality. The etiology of congenital limb absence can be attributed to genetic factors, environmental influences during pregnancy, or a combination of both. It is essential for healthcare providers to conduct a thorough assessment to identify any associated anomalies, particularly in the musculoskeletal system, such as scoliosis or limb reduction defects, which may require additional interventions.
Documentation should include a detailed physical examination, assessment of functional abilities, and any associated conditions.
Pediatric assessments for developmental milestones, referrals for prosthetic evaluation, and multidisciplinary team meetings.
Consideration of psychosocial impacts on the child and family, as well as the need for ongoing therapy and support.
Genetic counseling notes, family history assessments, and any genetic testing results should be documented.
Counseling for families with a history of congenital anomalies, discussions regarding recurrence risks, and management of syndromic presentations.
Understanding the genetic basis of limb absence and its potential syndromic associations is crucial for accurate coding.
Used for fitting and training with prosthetics for children with limb absence.
Document the need for orthotic intervention and the specific training provided.
Pediatric specialists should ensure that the orthotic management plan is tailored to the child's developmental needs.
Accurate coding of Q71.02 is crucial for appropriate reimbursement, tracking of congenital conditions, and ensuring that patients receive the necessary multidisciplinary care. It also aids in research and understanding the epidemiology of congenital limb anomalies.
